Generalized Anxiety Disorder is a common and disabling disorder characterized by persistent worrying, anxiety symptoms and tension about a variety of everyday problems for a period of at least 6 months [1]. The symptoms of this disease shows resemblance with the Chittodwega (Excited state of mind) which is one among the Manovikara (disease of mind) explained by Acharya Charaka. The contemporary management of this disease employs anxiolytics to be used in long run which is not conducive to health. This a case of 57 year old gentleman who presented with persistent anxiety and inability to relax . Based on signs and symptoms he was diagnosed as a case of GAD according to the ICD 10 F41.1 criteria. Treatment planned was Nasya (nasal administration) and Abhyanga (massage) followed by Shamanaushadhis (internal medicines). Brahmi gritha (medicated ghee) is widely practised as Paana (internal administartion) but in this case we have used it for nasal administration as it is the easiest way of delivering the potency of a drug to brain. Assessment of the condition of the patient before and after the treatment was done using Hamilton’s Anxiety Rating Scale to evaluate efficacy of treatment. After the completion of schedule of one week of IP treatment and further 21 days of OP level administration of medicine, a significant reduction in score from 18 to 13 on Hamilton’s Anxiety Rating Scale and improvement in symptoms was observed.
Ayurveda, Indian system of medicine aims to revitalize and preserve the health of the healthy and alleviate the disease of the sick. Proper lifestyle and diet play a major role in the prevention and curative aspect of ailments. Diet in its simplest form can be described as the food consumed. A diet can be compatible or incompatible to the human body depending on the various factors such as time, weather, topography, domicile, digestive power of an individual. In ayurveda this compatible diet is termed as pathya ahara and incompatible diet is termed as apathya ahara. In the present scenario, current life style and food habits such as incompatible diet and irregular timings contribute to various ailments. Skin is the most exposed organ and thereby more prone to pathological changes. Present research works and published papers are observed to be focused on diseases and medications and their curative effects. There is lackadaisical approach on the part to control and alleviate diseased conditions through a strict pathya apathya (wholesome and unwholesome) rather than outright administration of medicine. The present review highlights the same. In Ayurveda, skin disease occurs mostly due to the kapha pitta (humors) and rasa- rakta dushti (vitiated rasa, rakta body constituents). This review enlists certain diets that cause rakta prasadana (nourishing rakta) and pacify kapha pitta dosha. Unlike other diseases, skin disease is anushangi (long term) and recidivistic in nature. Treatment along with life style modifications with pathya and apathya can only completely target the skin disease. Therefore, present review aims to focus on the importance of diet in dermal health. In this study, Ayurveda classics were reviewed in terms of various aspects of pathya and apathya in major skin diseases like kushta, visarpa shwitra etc. The electronic databases Google Scholar and PubMed were searched for relevant contemporary literature. In this article mostly mentioned food articles are richest source of vitamin C. Vitamin C is the most important vitamin for upkeep of a healthy skin, as it helps to prevent skin pigmentation and damage caused by UV light exposure, it also helps to reduce visible signs of aging such as wrinkling of skin. Also most compatible food mentioned in the article are sheeta veerya(cold in potency), which reduces deranged pitta and having madhura rasa (sweet )which can pacify pitta dosha. Some specific types of viruddha (incompatible) mentioned here plays an key role in imparting tissue level damage. Thus, this review covers various aspects of dermal health in terms of diet. In fact there are effective dietary modifications in Ayurveda through which fast recovery and prevention can be ensured in the spectrum of skin manifestations.
Objectives Gout is an inflammatory response to the Monosodium urate crystals formed secondary to hyperuricaemia. The prevalence of gout has increased in recent years. The current conventional medical management aims at symptomatic management. In Ayurveda, gouty arthritis has similarity to Vata-Pittadhika Vatarakta, owing to its comparable aetiology and clinical features and treatment was planned accordingly. The present study is designed to evaluate the combined effect of Ayurvedic formulations and therapy in reducing the signs and symptoms and uric acid level in Gouty Arthritis. Methods The study was a single group pre–post test design. The patients diagnosed on the basis of ACR EULAR Gout classification 2015 criteria. They were given Guduchi Siddha Ksheeravasthi (Therapeutic enema), Guduchi (Tinospora cordifolia) Kashaya (diluted decoction) and Punarnava Guggulu. Assessment of pain was done by Visual Analogue Scale and serum uric acid level was assessed on day 1 and on 31st day. Also, the change in symptoms were analyzed before and after the treatment. This study has been registered in the clinical trial registry-India. Results The obtained data were evaluated using paired t-test and Wilcoxon signed rank test. A significant improvement (p=0.0001) was observed in VAS scale (98.77%), serum uric acid levels (57.81%), subjective parameters. Moreover, erythrocyte sedimentation rate was observed to be normal level as compared to baseline of the therapy also with an enhancement of hemoglobin (Hb) levels. Conclusions Thus, the present study revealed that Ayurvedic therapeutic interventions can play a major role in the management of gouty arthritis.
It is estimated that Low back pain afflicts nearly two thirds of the Indian population at some point in their life. Erandamuladi Niruha Basti is a widely practiced and proven formulation that is used in Gridhrasi (Sciatica). It contains more than 20 ingredients, which can be a daunting task for an ayurvedic practitioner in a clinic to procure. Hence the literary search was done with a view to find out other effective formulations which were preferably single drug formulations. Nirgundi patra Kashaya was mentioned by acharya Chakrapanidatta in Vatavyadhi Adhikarana of Chakradatta. Nirgundi itself has anti-inflammatory and analgesic properties, so this Kashaya was selected as a Basti to be compared with Erandamuladi Niruha Basti in Yoga Basti pattern. 30 patients were randomized into two groups, Group A and Group B based on a set of inclusion and exclusion criteria. Group A was given Nirgundi Patra Kashaya Niruha and Murchita Tila Taila Anuvasana and Group B patients were given Erandamuladi Niruha and Murchita Tila Taila Anuvasana. Objective and Subjective parameters were evaluated before the start of the treatment and at the end of the treatment. The parameters were evaluated using relevant statistical tests. The result showed that even though all the patients had relief after the treatment, he percentage of relief was more across all parameters in case of Group B. This showed that, Nirgundi patra Kashaya was effective in the treatment of Gridhrasi in Basti formulation, but, Erandamuladi Niruha Basti produced much significant relief.
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